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GREEN PARTNERS

A PARTNERSHIP of POLK COUNTY BUSINESSES

WELCOME TO THE GREEN PARTNERS PROGRAM

The Green Partners program has been developed to assist businesses build sound environmental management practices into their operations. Proper environmental management programs offer many social, economic and resource conservation benefits.

Businesses that develop adequate programs will be certified as Green Partners and will be recognized for their environmental awareness and leadership. They will be eligible to display the Green Partners decal on their place of business, and to use the Green Partners seal in their advertising. The Green Partners program will also promote recognition of member business through advertising and publications.

Business Name: ______________________________________________________________
Type of business: ______________________________________________________________
Address: ______________________________________________________________
City: _______________________ State: ________________ Zip: _____________
Contact Person: _____________________________________ Title: ____________________
Phone: ____________________________ Fax: ______________________________
E-mail: ______________________________________________________________

GETTING STARTED

The following checklist will aid us in determining what areas you will need assistance with, and in what areas you have already put into place, sound environmental practices.

I. ENERGY CONSERVATION

a. Do you have a programable thermostat?

Yes___ No___

b. Do water heaters have timers?

Yes___ No___

c. Do all exterior windows have solar tints?

Yes___ No___

d. Are fans used to reduce A/C demand?

Yes___ No___

e. Is the A/C thermostat set to 78?

Yes___ No___

f. Is the outside A/C unit shaded and free of debris?

Yes___ No___

g. Are A/C filters changed regularly?

Yes___ No___
II. WATER MANAGEMENT

a. Do you use low volume toilets?

Yes___ No___

b. Do you repair leaks and drips promptly?

Yes___ No___

c. Do you use shut-off nozzles on hoses?

Yes___ No___

d. Do you irrigate only when necessary and in accordance with regional water regulations?

Yes___ No___

e. Are vehicles and equipment washed off-site?

Yes___ No___

f. Is your property designed to manage runoff?

Yes___ No___

g. Do you use a broom, rather than water, to remove debris from paved areas.

Yes___ No___
III. RECYCLING

A. WILL YOU RECYCLE:

a. Paper?

Yes___ No___

b. Plastic?

Yes___ No___

c. Aluminum?

Yes___ No___

d. Flourescent lamps?

Yes___ No___

e. Cardboard?

Yes___ No___

f. Newspaper?

Yes___ No___

g. Phone books and magazines?

Yes___ No___

h. Other?

IV. VEHICLE and GROUNDS MAINTENANCE

a. Are outside contractors used for vehicle maintenance?

Yes___ No___

b. Are outside contractors used for pest control?

Yes___ No___

c. Are outside contractors used for lawn maintenance?

Yes___ No___
V. HAZARDOUS MATERIALS and WASTE MANAGEMENT

A. DO YOU PRODUCE OF STORE ANY OF THE FOLLOWING:

a. Oil or other petroleum products?

Yes___ No___

b. Solvents?

Yes___ No___

c. Batteries?

Yes___ No___

d. Pesticides?

Yes___ No___

e. Antifreeze?

Yes___ No___

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